Healthcare Provider Details

I. General information

NPI: 1841785391
Provider Name (Legal Business Name): HOME CAREGIVERS AND RESPITE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 06/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 N COTNER BLVD
LINCOLN NE
68505-1627
US

IV. Provider business mailing address

1535 N COTNER BLVD
LINCOLN NE
68505-1627
US

V. Phone/Fax

Practice location:
  • Phone: 402-417-6767
  • Fax:
Mailing address:
  • Phone: 402-417-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GINA T BEDEA
Title or Position: OWNER
Credential:
Phone: 402-417-6767